Evidence map›Paper›PMID 30123003›Full record

ArticleClinical epidemiology2018

Risk of cancer in patients with thyroid disease and venous thromboembolism.

Diana H Christensen, Katalin Veres, Anne G Ording, Jens Otto L Jørgensen, Suzanne C Cannegieter, Reimar W Thomsen, Henrik T Sørensen

Open access · goldAbstract read
In one paragraph

Article in Clinical epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Association between thyroid disorders and extra-thyroidal cancers, a review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Review
  3. Thrombosis Risk Associated with Head and Neck Cancer: A Review.International journal of molecular sciences · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Diana H ChristensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark, dhcr@clin.au.dk.
Katalin VeresDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark, dhcr@clin.au.dk.
Anne G OrdingDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark, dhcr@clin.au.dk.
Jens Otto L JørgensenDepartment of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Suzanne C CannegieterDepartment of Clinical Epidemiology, Leiden University Medical Centre, Leiden, the Netherlands.
Reimar W ThomsenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark, dhcr@clin.au.dk.
Henrik T SørensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark, dhcr@clin.au.dk.
Aarhus University Hospital · DKLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRisk of venous thromboembolism (VTE) is increased in patients with hypo/hyperthyroidism. It is unknown whether VTE may be a presenting symptom of occult cancer in these patients.

designNationwide population-based cohort study based on Danish medical registry data.

methodsWe identified all patients diagnosed with VTE during 1978-2013 who had a previous or concurrent diagnosis of hypothyroidism (N=1481) or hyperthyroidism (N=1788). We followed them until a first-time cancer diagnosis, death, emigration, or study end, whichever came first. We calculated 1-year absolute cancer risk and standardized incidence ratios (SIRs) for cancer incidence in the study population compared with national cancer incidence in the general population.

resultsDuring the first year after a VTE diagnosis, the 1-year absolute cancer risk was 3.0% among patients with hypothyroidism and 3.9% among those with hyperthyroidism. During the first year of follow-up, SIRs for cancer in the study population compared with the general population were 1.96 (95% CI: 1.42-2.64) among patients with hypothyroidism and 2.67 (95% CI: 2.07-3.39) among those with hyperthyroidism. SIRs declined substantially after 1 year but remained increased during the remainder of the follow-up period (up to 36 years) (SIR for hypothyroidism=1.16 [95% CI: 0.97-1.39]; SIR for hyperthyroidism=1.26 [95% CI: 1.08-1.46]).

conclusionVTE may be a marker of underlying occult cancer in patients with hypothyroidism or hyperthyroidism.

Indexed as

cancercohort studyhyperthyroidismhypothyroidismvenous thromboembolism

Identifiers

PMID30123003
PMCPMC6080866
OpenAlexW2887789116

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.